Updates from the Non-Hospital Medical and Surgical Facilities Program

Obstructive sleep apnea often undiagnosed prior to surgery

Obstructive sleep apnea (OSA) has been associated with increased perioperative risk and post-operative complications. Although OSA is a prevalent sleep disorder in the adult population, many OSA patients are undiagnosed when they present for surgery. A preoperative screening for OSA is an important step in identifying patients at risk. Non-hospital medical and surgical facilities must ensure that patients’ preoperative assessment and health history includes screening protocols for OSA such as STOP-Bang.

Health alerts and advisories are easy to receive

Non-hospital medical and surgical facilities are encouraged to include regular review of various health alert networks as part of their quality monitoring and risk management processes. Health alert networks are one way health professionals can receive time-sensitive information regarding the safety of health and consumer products. Health alert networks include but are not limited to the Canadian Agency for Drugs and Technologies in Health (CADTH), Canadian Patient Safety Institute Global Patient Safety Alerts and the Institute for Safe Medication Practices Canada (ISMP Canada). In addition, some networks such as Health Canada’s MedEffect™ make receiving safety alerts and advisories easy. By simply signing up for their service, facilities can receive alerts and advisories automatically via email.


The Non-Hospital Medical and Surgical Facilities Program requires private facilities to maintain high standards of practice equal to or exceeding public hospitals. The program establishes accreditation and performance standards, procedures and guidelines to ensure the delivery of high quality health services. The 700 physicians who work in private facilities across the province must be granted privileges by the College.